title: Systemic contact dermatitis to nickel present in cocoa in 14-year-old boy.
abstract: Systemic contact dermatitis can be elicited in nickel sensitive individuals by oral nickel exposure from food with high content of this metal, such as cocoa. We present a case report of a nonatopic teenager who developed allergic contact dermatitis due to nickel, cobalt, copper, and palladium, but exacerbations of skin lesions were mainly related to cocoa consumption.
authors.affiliation: Dermatology Unit, Center of Occupational Allergy and Environmental Health, Nofer Institute of Occupational Medicine, Lodz, Poland. krecisz@imp.lodz.pl
authors.forename: Beata
authors.initials: B
authors.lastname: Krecisz
authors.forename: Dorota
authors.initials: D
authors.lastname: Chomiczewska
authors.forename: Marta
authors.initials: M
authors.lastname: Kiec-Swierczynska
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kaszuba
mesh_terms: D000293:Adolescent; D002099:Cacao / Q000009:adverse effects*; D003877:Dermatitis, Contact / Q000209:etiology* / Q000473:pathology*; D006801:Humans; D008297:Male; D009532:Nickel / Q000009:adverse effects*; D012867:Skin / Q000473:pathology
chemical_list: D009532:Nickel